CAJ | 학술논문

目的：比较经尿道等离子前列腺切除术与经尿道等离子前列腺剜除术治疗良性前列腺增生症的疗效及安全性比较。方法通过两组手术切除腺体的方式不同，比较两组各自术前术后 IPSS、 QOL、尿流率、残余尿等指标的差异，比较两组手术术中前列腺切除量与术中出血之间的关系，比较两组手术术后 IPSS、 QOL、最大尿流率、残余尿的差异以及术后拔除导尿管、膀胱冲洗时间的差异，以充分了解和评估两种手术方式的优缺点。结果将60例符合实验条件的前列腺增生患者分为两组，各30例，其中， PKRP、 PKEP 组各自术后 IPSS 评分、 QOL 评分、最大尿流率与术前比较差异有统计学意义(P<0.01)。两组切除组织量、术中出血量比较差异有统计学差异(P<0.05)。两组手术术后最大尿流率、膀胱冲洗时间、拔除导尿管时间比较差异有统计学差异(P<0.05)。两组手术手术时间，术后 IPSS、 QOL、残余尿以及术后并发症比较差异无统计学意义(P>0.05)。结论两种手术方法在治疗良性前列腺增生方面均有良好效果，但经尿道等离子前列腺剜除术在术中切除增生腺体的重量、术中出血量以及术后最大尿流率、术后膀胱冲洗时间、术后拔除导尿管时间优于经尿道等离子前列腺切除术，在安全性方面更好，值得推广应用。
목적：비교경뇨도등리자전렬선절제술여경뇨도등리자전렬선완제술치료량성전렬선증생증적료효급안전성비교。방법통과량조수술절제선체적방식불동，비교량조각자술전술후 IPSS、 QOL、뇨류솔、잔여뇨등지표적차이，비교량조수술술중전렬선절제량여술중출혈지간적관계，비교량조수술술후 IPSS、 QOL、최대뇨류솔、잔여뇨적차이이급술후발제도뇨관、방광충세시간적차이，이충분료해화평고량충수술방식적우결점。결과장60례부합실험조건적전렬선증생환자분위량조，각30례，기중， PKRP、 PKEP 조각자술후 IPSS 평분、 QOL 평분、최대뇨류솔여술전비교차이유통계학의의(P<0.01)。량조절제조직량、술중출혈량비교차이유통계학차이(P<0.05)。량조수술술후최대뇨류솔、방광충세시간、발제도뇨관시간비교차이유통계학차이(P<0.05)。량조수술수술시간，술후 IPSS、 QOL、잔여뇨이급술후병발증비교차이무통계학의의(P>0.05)。결론량충수술방법재치료량성전렬선증생방면균유량호효과，단경뇨도등리자전렬선완제술재술중절제증생선체적중량、술중출혈량이급술후최대뇨류솔、술후방광충세시간、술후발제도뇨관시간우우경뇨도등리자전렬선절제술，재안전성방면경호，치득추엄응용。
Objective To compare the curative effect and the safety of transurethral plasmakinetic enucleation of prostate and transurethral resection of prostate in the treatment of BPH (Benign Prostate Hyperplasia). Methods The differences of the two differ-ent gland removal surgeries in terms of preoperative and postoperative IPSS, QOL, urine flow rate and residual urine were procured, the relationship between the removal volume of prostate and blood loss during the surgery was confirmed, and the differences of postop-erative IPSS, QOL, maximum urine low rate, residual urine, the time of the removal of the catheter and the time of bladder irrigation between the two surgeries were compared, so as to fully understand and estimate the advantages and disadvantages of the ways of sur-gery. Results 60 patients with BPH who met the experimental conditions were divided into two groups, 30 patients in each group. It was founded that the differences between preoperative and postoperative IPSS, QOL, maximum urine flow rate of Group PKRP and Group PKEP was statistically significant (P<0. 01). The difference in the removal volume of prostate and blood loss during the surgery was statistically significant (P<0. 05). The difference of postoperative maximum urine flow rate, the time of the removal of the catheter and the time of bladder irrigation between the two groups were statistically significant (P<0. 05). The difference of operation time, postoperative IPSS, QOL, residual urine, and complications between the groups was not statistically significant (P>0. 05). Conclu-sion The two surgical methods have good results in the treatment of benign prostatic hyperplasia. By comparison, transurethral plas-makinetic enucleation of prostate earns its advantage over transurethral resection of prostate in the removal volume of prostate and blood loss during the surgery, postoperative maximum urine flow rate, the time of the removal of the catheter and the time of bladder irriga-tion, which is safer and bears more popularizing value.